Stanitia Davis, D.P.M

NPI 1942463567 · on the registry since 2008 · sole proprietor

Practice

Address: 953 North St
Suite A
Jackson, MS 39202
Phone: (601) 366-0026
Fax: (601) 366-0069
Organisation at this address: Wjl Podiatry Clinic Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 213ES0103X
213ES0103X
Also registered as: 390200000X
Licence states on file: MS
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2016-07-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi